HomeMy WebLinkAboutBUILDING PERMIT APPLICATION ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 1 lY,n q .0m
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
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Address: 10152 S OCEAN DR 514B
Legal Description. ATLANTIS CONDOMINIUM BLDG B UNIT514B AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID#: 4502-803-0041-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Selig
Setbacks Front X Back: X Right Side: Left Side:
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Install 4 accordion shutters
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C(7 1STRUGTIQN INFORM�ITION ` y M wo
Ac[Clitionalwork to e orme un er t is permit—check a apply:
11HVAC -Gas Tank Gas Piping Shutters Q Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ $2,873.00 Utilities:Sewer Septic Building Height:
01tt�NER/LESS]=ETC
QNTRACTC3R ' & ` �
Name Francine Selig Name: Michael Heissenberg
Address:872 Greenbelt Pkwy W Company: Expert Shutter Services
City: Holbrook State:NY Address: 668 SW Whitmore Dr
Zip Code: 11741 Fax: City: Port Saint Lucie State:FL
Phone No.631-472-6251 Zip Code: 34984 Fax: 772-871-0990
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page(if different E-Mail: Callexpert@aol.com
from the Owner listed above) State or County License: 16572
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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Sl1tPPlEMEIyT LCQ �+RUQTIO,NUEN1LAW4N C}RMATIONTM.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Tiltecolnc. Name:
Address:6355 NW 36th St Suite 305 Address:
City: Virginia Gardens State: FL City: State:
Zip: 33166, Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will,in all respects,perform the work
in accordance with.the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
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Signature of Own r/Lessee/Contractor gent for Owner Signature of Contractor/License Hold
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisjodayof sJuAsi 20,,?-i_by this-Z_day of 20 oZ by
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary Public-State of Florida) (Signature,of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
QY Shanon
Commission No. r (Seanu Commission No.4*� ��. O'Shea
Shanon O'Shea oe� NOTgRYP
�oZA�Y NOTARY PUBLIC _STATE PUBLIC
o OF FLOR A
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Revised 07/15/2014 Comm#GG258038 "YcE IS'- Expires 9/12/202
Expires 911212022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS